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<br />CIn OF ZEPHnulILLS PERMIT APPLICATION <br />BUILDING IlIPARTMI'.IJl'1' 5335 aft St, %ephyrhill., I'r. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE N:CIUVED <br /> <br />PHONE CONTACT FOR PEIl.MI'r'1'IIJlG <br /> <br />0'"""" ""'" Nfl H +\1l1J.:~ LLL <br /> <br />Joe ADORnS ~ ~ :).D --yt::h ~ . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION; LOT(S) BlOCK s~mDrVISION <br />PARCEL ID 1I \\-21,- 2..~ - DDlD -l2LOn..OZI{)IOBT1H1:l FROM PROP!;'RTY TAX NOTVEI <br /> <br />WORK PROPS ED: ClNEW CONSTRUCTION <br />ClS1GN <br /> <br />CJ ADDITION <br />o HaVE <br /> <br />OALTERATIOY <br /> <br />o REPAIR <br /> <br />o INSrALL <br /> <br />D DEMons? <br /> <br />PRO~OSED USE: DSGL FAMILY DWEI,LING <br />.%COMMERCIA1 <br /> <br />DMULTI-FAKi:LY <br />o INDUSTRIAL <br /> <br />0. OF UN:TS <br /> <br />o HOBnE HCME <br />o DrHE;R <br /> <br />o SWIMMING FOOL <br /> <br />D&SClUP'l'IOO OF WOlUC <br /> <br />o PESTAtJRF\NT " <br /> <br />~~~) <br /> <br />HEALTH D~PARTMENT AFPR0V7~ <br /> <br />h(l~ ~ r~JQ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RES:DEN?IAL; ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (Ii SF;'!' Eh'ERGY F,-'1U'IS. <br />CCtlMERCIAL: ATTACH (3) SETS OF :BUILDING PLA~S .. (1) SET ENER(3Y FORMS. <br />IF SIGN PEF~IT ONLY (21 SETS OF ENGINEERED PLANS PEQUIRED. <br />PROPERTY SURVEY REOUIFED FOR ALL NEW CONSTflJ.lCTrGN. <br /> <br />pERMITS RJ:QUES'l'ED <br /> <br />o BUrLDING <br />)Ii ELECTRICAL <br /> <br />$ <br /> <br />._ VALUATION OF TOT,I'.L cmmTRUCTlC,N <br /> <br />~c <br /> <br />AMP SEPYIC:;; <br /> <br />o FLORT.DA POh~R <br /> <br />o <br /> <br />W.P:.E,C. <br /> <br />o PLUMBING <br />o MEc.~rCAL <br /> <br />$-- <br /> <br />,- \r.1\LI'ATION OF MECF.ANCl..L INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFINC, <br /> <br />o SPECIAl,TY <br /> <br />o OTHEF <br />o F!>.A.>.1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR t2VA'l'IONS __." <br /> <br />IS PReJECT IN .'Loon ZONE ARE:.AO YES 0 NO <br /> <br />~"",.,," <br />b~'~~_~' <br /> <br />,.... _ - l"' _ <br /> <br />.... ---- ~ ~, ~ ~----..~ <br /> <br />f'( <br /> <br />;"~, }. <br />" ~'...;. ~',.,,; <br /> <br />,;j~' '. <br /> <br />-----'--] <br />. " ',' . <br />',", ",.::, ',', ',' . .,' ':-.: '. <br />.' ".::.'-~;~~.~~-~~--~ " <br /> <br />BUILOi:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR ,REGIST # <br /> <br /> <br />~*~**..*******~*.**~~.~W*.**.*~.*.**~*...*~*...~*~~*+.**..*~.*...* , <br /> <br />· ~ COMP1\Nl.1'<\.a..-r+-\,,", ~~\ u l.1^c <br />-- STATE, CE?T OF< RE.GIS'l' # ~.13 00 13~ <br /> <br />SIGNATURE <br /> <br />.*******.*..**~.~..~~*k**~******.***w+*~*+..*W*~*..***.~.****~*..~ <br /> <br />PLUMBER <br /> <br />COl>rPANY <br /> <br />SIG.~ATURE <br /> <br />5~~TZ CERT OF REGIS! ~ <br /> <br />***..*.~.*****~~..***~*.**~*~~**..*.*.~.****~***.**.***.~.*..~*._. <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNA'!'UllE <br /> <br />STATE CERT OR REGIS! # <br /> <br />***.***.~.****..******.********.**.+*~~~.k.~.*..*.*.*.*+*.~+*.*... <br /> <br />OTHER <br /> <br />(;OM?J\NL <br /> <br />SI~'l'URE <br /> <br />STATE CERT op, REGIS! If <br /> <br />'oj <br /> <br />I~:: Ij t . i}:J <br /> <br />;llj Hd',hd3Z JC U l:j <br /> <br />~~9t:6 800!'~ ')80 <br />